Certified Application

The McLean County Board of Education does not discriminate on the basis of race, color, national orgin, sex, religion, age or disability in the employment of the provision of services. Any and/or all questions or issues related to discrimination policies, procedures or practices are to be directed to the Office of Superintendent, McLean County Board of Education, PO Box 245, 410 Hwy 136 East, Calhoun, KY 42327 (270)273-5257

FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE CRIMINAL HISTORY BACKGROUND CHECK AND HAVE A LETTER, PROVIDED BY THE INDIVIDUAL, FROM THE CABINET FOR HEALTH AND FAMILY SERVICES STATING THE EMPLOYEE IS CLEAR TO HIRE BASED ON NO ADMINISTRATIVE FINDINGS OF CHILD ABUSE OR NEGLECT FOUND THROUGH A BACKGROUND CHECK OF CHILD ABUSE AND NEGLECT RECORDS MAINTAINED BY THE CABINET FOR HEALTH AND FAMILY SERVICES AS A CONDITION OF EMPLOYMENT.

The McLean County Board of Education is in no way obligated by the filing of this applicaiton, and its acceptance does not indicate that there are open positions.

This application will remain in active status for three (3) years unless notified otherwise by the applicant.

Full Name*

First NameMiddle NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email Address*

Phone Number*

Area CodePhone Number

McLean County Board of Education is an Equal Opportunity/Affirmative Action Employer and has an affirmative duty to reasonable accommodate otherwise qualified individuals with a disability.

Please check which type of position you are applying for:*

Classroom TeacherSubstitute TeacherSpeech/Language PathologistOther

If Other, please explain:

Major

Minor

Grade Levels and Subjects

Place Now Employed

Present Position

Are you under contract for next year?

Are you related to a member of the McLean County Board of Education or the Superintendent?*

YesNo

If so, who and how?

What type of certificate do you currently hold?

If Kentucky Certificate, give the Expiration Date

What Rank is your current Teaching Certificate?

Rank IRank IIRank IIIRank IV

Do you hold a teaching certificate in another state?

YesNo

If so, what state(s)?

Upload Resume

Upload a File

Either attach resume with previous employment history, or list here.

Pursuant to KRS 160.380, for this type of employment, state law requires a criminal record check as a condition of employement.

Position Desired

	Primary K-3	Intermediate 4-5	Middle School 6-8	High School 9-12
First Choice
Second Choice
Third Choice

If Middle School, or High School what is your first choice of subject?

Second Choice Subject?

Where have you attended college?*

List three professional references not related to you. Please include a number where they can be reached. *

Have you ever been convicted of a felony?*

YesNo

If yes, please explain giving dates, location(s), and complete name at the time.

Agreement

I certify that all answers to the questions in this application are true, and I further understand that any false statements and/or omission in this application will be sufficient grounds for rejection of the application or termination of employemnt without notice.

I authorize the McLean County Board of Education to make any and all necessary and appropriate investigations to verify the information contained herein, including criminal records, educational credentials and work experience checks. References obtained are done so in confidence and I understand that my rights to review any reference material is waived.

I understand that the McLean County Board of Education is required by Kentucky law to obtain criminal history background information on applicants for employment.

I also understand that I will be required to enroll and participate in an appropriate state retirement plan immediately from point of employment in a regular status position - failure to do so shall result in termination of employment.

Prior to employment, I must provide information related to identity and employability. Failure to provide appropriate documentation for verification of employment eligibility shall result in immediate termination of employment and/or offer of employment.

I acknowledge that my employment may be terminated, and any offer of employment , if such is made, may be withdrawn, with or without cause and without prior notice at the option of the McLean County Board of Education or myself.

I have read and agree with the above statements.*

YesNo

Today's Date*

MonthDayYear

Candidates employed for a classified position must file a:

1. Physical Examination

2. T.B. skin test

3. Federal and State employee's withholding exemption certificates

4. U.S. law requires that, if hired, you must furnish your social security card* or one of the following documents within 72 hours of starting work.

a card issued by Federal, State or local government showing your identity
Driver's license, or state issued I.D. card with photo
School I.D. with photo
Current INS forms with employemtn authorization stamp
U.S. passport
Voter's registration card
U.S. military card or other draft card

*If you do not have a social security card, you may present an original or copy of a U.S. birth certificate, or Department or State Forms FS-545 or DS-1350 or INS Forms I-327, I-571, I-197, 1-179

A salary check cannot be issued until the items listed above have been completed and filed in the Superintendent's Office.

Once you submit you will receive an email verification.

McLean County Public Schools Certified Job Application